Provider Demographics
NPI:1073012076
Name:SHROTRIYA, RAJESH CHANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJESH
Middle Name:CHANDRA
Last Name:SHROTRIYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5 HIGHLAND CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-6612
Mailing Address - Country:US
Mailing Address - Phone:949-212-1680
Mailing Address - Fax:702-462-9381
Practice Address - Street 1:5 HIGHLAND CREEK DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-6612
Practice Address - Country:US
Practice Address - Phone:949-212-1680
Practice Address - Fax:702-462-8381
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT021340208U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology